The mediating role of self-hate between adverse childhood experiences and depression,anxiety,and suicide risk in adolescents
10.3969/j.issn.1002-0152.2024.07.002
- VernacularTitle:自我厌恶在青少年童年不良经历与抑郁焦虑情绪、自杀风险间的中介作用
- Author:
Lingfei CHENG
1
;
Leilei WANG
;
Jingxu CHEN
Author Information
1. 北京回龙观医院,北京大学回龙观临床医学院(北京 100096)
- Keywords:
Adolescent;
Adverse childhood experience;
Self-hate;
Depression;
Anxiety;
Suicide risk;
Mediat-ing effect
- From:
Chinese Journal of Nervous and Mental Diseases
2024;50(7):403-408
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the mediating effect of self-hate between adverse childhood experiences and depression,anxiety,and suicide risk in adolescents.Methods In Juxian county,Rizhao,Shangdong Province,a cross-sectional survey was conducted in 5 junior high schools and high schools using questionnaires.A total of 6838 valid questionnaires were collected.The assessment included a self-designed general information questionnaire,patient health questionnaire-9(PHQ-9),generalized anxiety disorder-7(GAD-7),the mini-international neuropsychiatric interview 5.0 suicide module,revised adverse childhood experience questionnaire(ACEQ-R),and self-hate scale(SHS)to evaluate relevant content.Results The detection rates of depression,anxiety,and suicide risk were significantly higher in girls(P<0.001)and in senior high school students(P<0.001).Adolescents with depression,anxiety,and suicide risk exhibited higher scores for adverse childhood experiences and self-hate compared to those without these conditions(P<0.001).Adverse childhood experiences indirectly predicted depression through self-hate with an indirect effect size of 0.1488,accounting for 60.86% of the total effect(P<0.001).Similarly,adverse childhood experiences indirectly predicted anxiety through self-hate with an indirect effect size of 0.1524,accounting for 62.87% of the total effect(P<0.001).Furthermore,adverse childhood experiences indirectly predicted the risk of suicide through self-hate with an indirect effect size of 0.0485,accounting for 49.44% of the total effect(P<0.001).Conclusions Adverse childhood experiences have predictive effects on depression,anxiety and suicide risk in adolescents,and self-hate plays a mediating role on depression,anxiety and suicide risk in adolescents.
